Provider Demographics
NPI:1003598673
Name:WILLIAMS, SKY S
Entity Type:Individual
Prefix:
First Name:SKY
Middle Name:S
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PSC 41 BOX 8330
Mailing Address - Street 2:
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09464-0084
Mailing Address - Country:US
Mailing Address - Phone:225-371-9436
Mailing Address - Fax:
Practice Address - Street 1:48 MEDICAL GROUP/SGD
Practice Address - Street 2:
Practice Address - City:LAKENHEATH
Practice Address - State:UNITED KINGDOM
Practice Address - Zip Code:IP27 9PN
Practice Address - Country:ES
Practice Address - Phone:016-385-2801
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-03
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes126800000XDental ProvidersDental Assistant